Diabetes Patient Education. Linda Burns Diabetes Specialist Nurse North West CHP

Transcription

1 Diabetes Patient Education Linda Burns Diabetes Specialist Nurse North West CHP

2 Principles of Adult Education Process of learning brings together cognitive, emotional, and environmental influences for acquiring knowledge, skills, and values¹ Adults learn most effectively when the teaching environment allows individuals to internalise and express their understanding of the content and its interpretations. It is not enough to just provide content - learners must be allowed to experience it through a lens that accounts for their personal experience and environment.

3 A clear underlying philosophy on which the programme is based A structured written curriculum Trained educators familiar with the programme and its delivery A quality assurance system applied to the structure, process, content, and delivery of the programme A process of audit of programme outcomes including biomedical, psychosocial, and patient experience

4 Diabetes MCN developed patient pathways for Type 1 and Type 2 education Multi-disciplinary working groups are reviewing current provision and developing action plans to improve provision of Type 1 and Type 2 patient education New programme for those with established T2 DM developed by Valerie Laszlo, called Mastering Type 2, is being piloted

5 DAFNE DICE Foundation Programme

6 Dose Adjustment for Normal Eating

7 DAFNE is a way of managing Type 1 diabetes for adults and provides the skills necessary to estimate the carbohydrate in each meal and to inject the right dose of insulin. 5-day training course (either in one week, or one day a week over 5 weeks) plus a follow-up session around 8 weeks after the course. Structured teaching programme delivered to groups of 6-8 participants, supervised by DAFNE-trained educators. Most of the training is built around group work, sharing and comparing experiences with other participants. However, there are opportunities for each person to speak to DAFNE Educators individually.

8 Type 1 diabetes for at least 6 months (and/or post 'honeymoon ) Over 17 years of age Motivated to improve diabetes control Ability to cope with flexibility of eating/insulin regime Willing to inject and test at least 5 times a day Able to speak/understand/read English (interpreter can be used) Absence of 'end-stage diabetes or other medical complications Able to attend for a full 5-day course

9 DESMOND CONVERSATION MAPS

10 Diabetes Education and Self Management for Ongoing and Newly Diagnosed

11 6 hours of education by 2 DESMOND educators in a group setting Education is non-didactic / patient centred Patients use results from their diabetes review to assess their risk of complications and to complete an action plan. Facilitate learning to enable patients to make informed decisions about how to manage their diabetes.

12 Conversation Maps

13 Diabetes Conversation Maps A comprehensive and unique set of educational tools known as Conversation Maps Designed to engage patients in the learning process and help them become better self managers through group sessions Developed in accordance with Clinical Practice Guidelines

14 After completing the Conversation Map training, facilitators are able to incorporate new education techniques into their practice, which can help drive greater retention and help positively affect behaviour. The training can expand the skill set of healthcare professionals by enhancing their group-session facilitation skills. A new role for educators that of a facilitator rather than just a dispenser of facts. Educators are there to ensure that information shared within the group is correct. Training workshops 4 hours arranged through Lilly representative

15 Thank you. Any questions?